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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Nursing

Background:

  • Patient violence on psychiatric units impacts nursing staff.
  • Research on dynamic risk factors, especially anger, is limited.
  • Understanding anger's role in aggression is critical for patient safety.

Purpose of the Study:

  • Assess the reliability of patient self-reported anger in acute psychiatric settings.
  • Examine the link between patient anger and aggressive behaviors.
  • Evaluate anger as a predictor of aggression.

Main Methods:

  • Assessed psychometric properties of patient-rated anger instruments.
  • Evaluated 42 patients' self-reported anger and aggressive behavior.
  • Used diagnostic interviews and measures of depression, trauma, and coping.

Main Results:

  • Patient anger self-ratings showed high reliability and validity.
  • Self-reported anger correlated with patient-reported aggression.
  • Anger prospectively predicted nurse-observed aggression, controlling for covariates.

Conclusions:

  • Patients can reliably self-report anger, indicating short-term aggression risk.
  • Nurse involvement in anger monitoring is valuable.
  • Nurse-supported anger treatment programs may improve patient outcomes.